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Complaint Investigation

River Oaks Healthcare Center

Inspection Date: October 16, 2025
Total Violations 2
Facility ID 515120
Location CLARKSBURG, WV
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** F689Based upon Observations and Interviews the facility FAILED to ensure an environment that remains free from accident hazards as evidenced by A) Day room (end of hall room) of [NAME] court - Sani wipes (purple top) cleaners left on top of vending machines. B) Internet cafe/storage area with multiple equipment beds, lifts, pumps, chairs, and broken picture frame with sharp edges on counter. The area is open to residents and poses multiple hazards. C) Wiring exposed in a wall box without a cover outside RM [ROOM NUMBER]. This was a random opportunity of discovery with the ability to affect more than one person.

Census 116 Findings include:A) In the day room at the end of hall room of [NAME] court there were Sani wipes (purple top) cleaners left on top of vending machines. Interview with employee #105 stated that no

they should not be left on top of the machines, even if most residents are in wc and cant reach them. B) In

the Internet cafe storage area was open to residents with multiple equipment beds, lifts, pumps, chairs, and broken picture frame with sharp edges on the counter which posed multiple hazards. Interview RN #58 - No that room is open and available to all residents and also used for training staff. C) There was wiring exposed in wall box with out a cover outside RM [ROOM NUMBER]. An interview with HSW #213 stated that the wires have been there a while, they are repainting the hallway.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

River Oaks Healthcare Center

100 Parkway Drive Clarksburg, WV 26301

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** F880Based upon Observations and Interviews the facility FAILED to have a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. This is evidenced by A) Two open soda cans on a PPE cart outside a residents room. B) Three lift pads left on top of a clean linen cart; and C) PPE/EBP signs on multiple doors with out identifying the resident to whom the precaution applies to.These were all random opportunities for discovery, with the ability to affect more than a single person.Census: 116A) The PPE cart outside RM [ROOM NUMBER] had two soda cans sitting on it. (zero sugar shasta)B) Outside RM [ROOM NUMBER] there were three lift pads on top of the linen cart exposed and not covered. An interview w/employee #105 stated that they definitely should not be on top of that cart,

they should be at least inside under the cover. Ill make sure they are taken care of.C) There were PPE/PBE signs throughout the building that are not marked with whom the precautions go to. An interview with #213 stated that they just assume both residents are covered by the sign and not sure how they (the facility) marks them honestly. Another Interview with the DON stated that there should be a 1 or a 2 and sometimes

a blue dot on them and she will let the IP person know they need to be addressed.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

RIVER OAKS HEALTHCARE CENTER in CLARKSBURG, WV inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLARKSBURG, WV, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from RIVER OAKS HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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